Healthcare Provider Details

I. General information

NPI: 1679912000
Provider Name (Legal Business Name): MUHAMMAD ASHRAF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2013
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4050 LAKE OTIS PKWY STE 208
ANCHORAGE AK
99508-5221
US

IV. Provider business mailing address

4050 LAKE OTIS PKWY STE 208
ANCHORAGE AK
99508-5221
US

V. Phone/Fax

Practice location:
  • Phone: 907-885-0206
  • Fax: 907-600-5089
Mailing address:
  • Phone: 907-885-0206
  • Fax: 907-600-5089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number192897
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2016-02172
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: